Provider Demographics
NPI:1386113942
Name:PREFERRED INJURY PHYSICIANS OF NEW SMYRNA BEACH, INC
Entity type:Organization
Organization Name:PREFERRED INJURY PHYSICIANS OF NEW SMYRNA BEACH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-785-5958
Mailing Address - Street 1:1355 OAKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4841
Mailing Address - Country:US
Mailing Address - Phone:813-785-5958
Mailing Address - Fax:
Practice Address - Street 1:658 N DIXIE FWY
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-6466
Practice Address - Country:US
Practice Address - Phone:386-265-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty